[1]耿晓慧,柴昊,李帅垒,等.髋膝关节翻修术围手术期预防低体温的管理策略[J].中医正骨,2023,35(12):57-59,68.
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髋膝关节翻修术围手术期预防低体温的管理策略()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年12期
页码:
57-59,68
栏目:
临床报道
出版日期:
2023-12-20

文章信息/Info

作者:
耿晓慧柴昊李帅垒包伟东孙永强
河南省洛阳正骨医院/河南省骨科医院,河南 郑州 450016
关键词:
低体温 围手术期 再手术 髋关节 膝关节
摘要:
目的:探讨髋膝关节翻修术围手术期预防低体温的管理策略。方法:2019年1月至2022年9月,对282例髋膝关节翻修术围手术期患者进行了一系列规范化的管理措施,包括覆盖床单、提高环境温度、加温输注液体,以及艾灸、穴位贴敷、中药热熨等。记录手术时间、术中失血量和麻醉复苏时间,并观察术后低体温发生情况。结果:本组患者手术时间(2.73±0.76)h,术中失血量(459.09±174.38)mL,麻醉复苏时间(14.83±5.36)min。12例患者返回病房24 h内出现低体温,其中4例经积极对症处理后症状消失,8例采取多种保温措施后复温; 其余患者均未出现低体温。结论:对于髋膝关节翻修术患者,在围手术期采取预保温、主动保温、被动保温等一系列规范化的管理措施,可以减少术中失血量,缩短手术时间和麻醉复苏时间,有效预防低体温的发生。

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备注/Memo

备注/Memo:
基金项目:河南省中医药科学研究专项课题(2023ZY1019)
通讯作者:孙永强 E-mail:joint99@126.com
更新日期/Last Update: 1900-01-01